摘要
目的探讨微创距下关节融合术治疗跟骨骨折所致距下关节创伤性关节炎的临床效果。方法 60例跟骨骨折所致距下关节创伤性关节炎患者,依据治疗方式的不同分为对照组和观察组,各30例。对照组采用开放性跟距关节融合术进行治疗,观察组采用微创距下关节融合术进行治疗。观察两组患者术后距跟高度、距跟角、距跟倾斜角、跟骨补偿角情况。结果观察组患者距跟高度为(72.3±8.0)mm、距跟角为(28.9±3.0)°、距跟倾斜角为(20.2±2.8)°、跟骨补偿角为(21.4±2.5)°,均优于对照组的(64.7±7.5)mm、(23.5±2.2)°、(16.4±2.1)°、(17.3±2.3)°,差异均具有统计学意义(t=3.80、7.95、5.95、6.61,P<0.05)。结论微创距下关节融合术治疗跟骨骨折所致距下关节创伤性关节炎患者,提高了临床效果,预后恢复较好,值得临床推广应用。
Objective To explore the clinical effect of minimally invasive subtalar arthrodesis in the treatment of traumatic subtalar arthritis caused by caleaneal fracture. Methods A total of 60 patients with traumatic subtalar arthritis caused by calcaneal fracture were divided by different treatment methods into control group and observation group, with 30 cases in each group. The control group received open talocalcaneal arthrodesis for treatment, and the observation group received minimally invasive subtalar arthrodesis for treatment. Observation were made on postoperative talocalcaneal height, talocaleaneal angle, talocaJcaneal slant angle and talocalcaneal offset angle situation in two groups. Results The observation group had talocalcaneal height as （72.3 ± 8.0） mm, talocalcaneal angle as （28.9 ± 3.0）° , talocalcaneal slant angle as （20.2 ± 2.8）° and talocalcaneal offset angle as （21.4±2.5）° , which were all better than （64.7 ± 7.5）mm, （23.5± 2.2）° , （16.4 ± 2.1）° and （17.3± 2.3）° in the control group, and the difference had statistical significance （t=3.80, 7.95, 5.95, 6.61, P〈0.05）. Conclusion Minimally invasive subtalar arthrodesis can increase clinical effect for the treatment of patients with traumatic subtalar arthritis caused by calcaneal fracture, and patients have good prognostic recovery. So it is worthy of clinical promotion and application.
出处
《中国实用医药》
2017年第12期56-58,共3页
China Practical Medicine
关键词
微创
距下关节融合术
跟骨骨折
距下关节创伤性关节炎
效果
Minimally invasive
Subtalar arthrodesis
Caleaneal fracture
Traumatic subtalar arthritis
Effect
